Leelasinjaroen P, Manatsathit W, Berri R, Barawi M, Gress FG. Role of preoperative endoscopic ultrasound-guided fine-needle tattooing of a pancreatic head insulinoma. World J Gastrointest Endosc 2014; 6(10): 506-509 [PMID: 25324923 DOI: 10.4253/wjge.v6.i10.506]
Corresponding Author of This Article
Pornchai Leelasinjaroen, MD, Resident Physician, Department of Medicine, St. John Hospital and Medical Center, 22101 Moross Rd, Detroit, MI 48236, United States. tee_pornchai@yahoo.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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World J Gastrointest Endosc. Oct 16, 2014; 6(10): 506-509 Published online Oct 16, 2014. doi: 10.4253/wjge.v6.i10.506
Role of preoperative endoscopic ultrasound-guided fine-needle tattooing of a pancreatic head insulinoma
Pornchai Leelasinjaroen, Wuttiporn Manatsathit, Richard Berri, Mohammed Barawi, Frank G Gress
Pornchai Leelasinjaroen, Wuttiporn Manatsathit, Department of Medicine, St. John Hospital and Medical Center, Detroit, MI 48236, United States
Richard Berri, Department of Surgery, St. John Hospital and Medical Center, Detroit, MI 48236, United States
Mohammed Barawi, Division of Gastroenterology, Department of Medicine, St. John Hospital and Medical Center, Detroit, MI 48236, United States
Frank G Gress, Division of Digestive Diseases, Columbia University Medical Center, New York, NY 10032, United States
Author contributions: Leelasinjaroen P and Manatsathit W researched/reviewed the current literature and wrote the paper; Barawi M performed the endoscopic procedure, provided the endoscopic image and reviewed manuscript; Berri R performed surgery provided the intraoperative images and reviewed manuscript; Gress FG reviewed manuscript.
Correspondence to: Pornchai Leelasinjaroen, MD, Resident Physician, Department of Medicine, St. John Hospital and Medical Center, 22101 Moross Rd, Detroit, MI 48236, United States. tee_pornchai@yahoo.com
Telephone: +1-734-2723147 Fax: +1-313-3437271
Received: June 23, 2014 Revised: August 8, 2014 Accepted: September 4, 2014 Published online: October 16, 2014
Core Tip
Core tip: Preoperative endoscopic ultrasound-guided fine- needle tattooing (EUS-FNT) pancreatic body and tail lesion has shown to decrease operative time and facilitate laparoscopic distal pancreatectomy. We reported that preoperative EUS-FNT can effectively help localizing non-palpable pancreatic head insulinoma, especially in deep pancreatic parenchymal tissue. EUS-FNT helps precisely localizing the tumor and avoiding pancreatic duct and vascular injury from surgery. Furthermore this technique may help in preserving normal pancreatic tissue, reducing operative time and most importantly minimizing risks of pancreaticoduodenectomy. EUS-FNT represents a safe and useful role for the preoperative localization and surgical planning of the pancreatic head insulinoma.
